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These alterations contribute to systemic inflammation by increasing the production of pro-inflammatory cytokines, including interleukin (IL)-1, IL-6, IL-8, IL-13, tumor necrosis factor-alpha (TNF-), and transforming growth factor-beta 1 (TGF-1) [24]

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[DOI] [PMC free article] [PubMed] [Google Scholar] 85.Sun YW, Kosinska W, Guttenplan JB

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Screw it back on so its snug, but dont crank it down too hard

As a racer hed certainly had more than his fair share of opportunities to meet his maker so who could blame him if he looked back over his miraculous death-defying escapes and subsequent recoveries and came to the conclusion that some greater power was looking out for him